News & Analysis

August 14, 2019
Medicare Insider

This week’s Medicare updates include the release of the 2020 ICD-10-CM coding guidelines, a decision memo on chimeric antigen receptor T-cell therapy, a booklet on critical access hospital requirements, and more!  

August 14, 2019
News & Insights

Chimeric antigen receptor T-cell (CAR-T) therapy will be covered for Medicare beneficiaries nationally, according to an August 7 CMS press release.

August 14, 2019
News & Insights

Q: What are some examples of programs that address social determinants of health (SDoH) in an Accountable Care Organization (ACO) setting?

August 13, 2019
News & Insights

Oversight of the practice of case management is a complex process. A number of moving parts must be factored in, including education, credentialing, and professional qualifications.

August 12, 2019
News & Insights

Q: What is the difference between a Medicare claim appeal (redeterminiation) versus reopening of a claim?

August 9, 2019
News & Insights

 Q: A diabetic patient is diagnosed with a gangrenous decubitus ulcer of the left heel and admitted to the hospital for treatment. If the provider documents an association between diabetes and the decubitus ulcer, which condition should be sequenced as the principal diagnosis?

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